Bulletin of the World Health Organization

The Global Drug Facility: a unique, holistic and pioneering approach to drug procurement and management

Robert Matiru, Timothy Ryan

Volume 85, Number 5, May 2007, 348-353

Table 1. Challenges in providing access to anti-tuberculosis (anti-TB) drugs and tailored responses of the Global Drug Facility

Challenge Global Drug Facility’s response
Lack of financial resources for anti-TB drugs
A Grant Service was implemented whereby anti-TB drugs are given freely to eligible and approved countries that are dependent on donors to meet their need for these drugs
Inefficient procurement systems
A Direct Procurement Service was developed to aid governments, donors and nongovernmental organizations in purchasing drugs in countries that have sufficient finances but lack adequate procurement capacity; this service includes a quality assurance system
Inadequate quality assurance procedures The GDF’s Technical Support Service combines Grant and Direct Procurement Services with technical assistance for:     • in-country management and monitoring of anti-TB drugs     • support in global efforts to improve the quality of anti-TB drugs, primarily via WHO’s prequalification programme
Non-specific international recommendations and non-adherence to international recommendations
Lack of standardization of anti-TB drugs available
Inadequate in-country management and monitoring of drug distribution and use.